Some women naturally have a large hood over their clitoris, and others develop the problem over time. The redundant clitoral hood often causes aesthetic concerns and also affects sexual function. It is important to differentiate the prepuce, the skin fold on each side of the clitoral hood as an extension of the labia, from the clitoral hood itself. Properly performed, a labiaplasty (labioplasty) of the labia minora can include the redundant prepuce to improve the aesthetic and function. If the clitoral hood is actually redundant, thick and over-hanging the clitoris too much, then clitoral hood reduction should help to address the concern.
Clitoral hood reduction is performed by surgically excising a strategic area of the clitoral hood, but never deep enough to affect the clitoris or any blood or nerve supply to the clitoris. The incision is then closed using plastic surgical techniques to reduce the redundancy of the hood and to give the clitoris the appropriate exposure in the neutral and aroused state.
Done properly, with preservation of the most densely innervated areas of the clitoral hood, clitoral hood reduction should enhance sexual function without compromising the sensory response of the clitoris.
Clitoral hood reduction is done under local anesthetic with minimal recovery requirement. One can usually return to normal activities in a few days. The limitations are no sexual activities and no direct impact to the clitoral area for four weeks.
Please view the following presentation by Dr. Lau regarding labioplasty minora, majora, and clitoral hood reduction: